Provider Demographics
NPI:1649206962
Name:IMRAN, YASMEEN QUDDOOS (MD)
Entity Type:Individual
Prefix:DR
First Name:YASMEEN
Middle Name:QUDDOOS
Last Name:IMRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 N DECATUR RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5918
Mailing Address - Country:US
Mailing Address - Phone:404-501-5227
Mailing Address - Fax:
Practice Address - Street 1:2701 N DECATUR RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5918
Practice Address - Country:US
Practice Address - Phone:404-501-5227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA064393207R00000X, 208M00000X
TN41100207RG0300X
KY38635207RG0300X
GA64393282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN00890OtherBLUE ADVANTAGE
TNTIDOtherBEECH STREET
TN6995651OtherCIGNA
TN9351066OtherPCHS
TN10067493OtherAMERIGROUP
TN4132017OtherBCBS
TNP 00381130OtherRRMC
TNTN 0101OtherAMERICHOICE
TN3825837OtherTENNCARE
TN108267OtherHEALTHSPRING
TN11312199OtherCOVENTRY
TN3735141Medicaid
TN7968666OtherAETNA
TN3825837OtherTENNCARE
TN3735141Medicaid